PHHA 430 HEALTHCARE ORGANIZATION MANAGEMENT

All of the following are sources of epidemiological planning except: - ANS-Community Requirements Total personnel required equals: - ANS-Demand per work divided by time required per service When forecasting teams, planners should not factors delays, overtime or employee satisfaction: - ANS-False Evidence based management systems are primarily used as a resource for attorneys when defending staff physicians against malpractice claims - ANS-False The problem with knowledge infrastructure is that access is limited to appropriate users. - ANS-False Annual planning is a process that should be undertaken by all healthcare organizations - ANS-True If an OFI is identified a PIT may - ANS-be assigned to address it Responsibilities of the Performance Improvement Council include all except: - ANS-Correct Actions of the PIT Elements of transformational culture include: - ANS-Negotiating goals rather than imposing them, Copying best practices, Using rewards, and Extensive training to build confidence and competence Strategic Scorecards measure the enterprise as a whole, or in large components, such as service lines or joint venture corporations. - ANS-True Other than physicians, board members rarely have extensive knowledge of HCOs. - ANS-True Board retreats are - ANS-The first step in many HCOs planning process. Board members can have goals that are not aligned with those of the health care organization. - ANS-True Most board members serving on HCO boards are volunteers with full-time jobs - ANS-True The governing board delegates the creation of the Mission and Vision of the organization to employees who know the patients and work with them regularly. - ANS-False While the board is responsible for recruiting, hiring and terminating the CEO, the only person who can set the salary of the chief executive is the director of human resources. - ANS-True The board is responsible for succession planning. They do this by - ANS-Identifying people within the organization who would likely be a good fit. A mission statement identifies what the organization should - ANS-Do A medical diagnosis and the nursing diagnosis consider the same factors. - ANS-False For many illnesses, primary care doctors must refer patients to specialists. When the treatment is complete the specialist then hands care back to the primary care doctor - ANS-True Efficiency in clinical care is defined as: - ANS-The highest quality outcome at the lowest cost. Patient-centered care requires: - ANS-Coordinated care that considers the clinical needs as well as psychological and emotional needs of the patient. While popular, patient protocols are suspected to increase medical errors in the United States health system. - ANS-False Clinical pathways or protocals allow doctors several paths for treating identical diseases or illnesses. - ANS-False The credentialing process that HCOs should have in place should not require continuing education because that is the responsibility of the American Medical Association. - ANS-True Clinical protocols or pathways always restrict the autonomy of the patient and provider. - ANS-False Preventative is not a word used in health care. - ANS-False HCAHPS is designed to measure: - ANS-patient experience The clinical staff organization has 6 primary functions. Match the function listed with an example of that function. - ANS-· Function: Achieving excellent care, Example: Use of clinical pathways and/or interdisciplinary plans of care/ · Function: Continuous improvement of clinical staff organization, Example: Responsive, open communication with individual clinical staff/ · Function: Negotiating compensation arrangments, Example: Negotiate risk-sharing contracts/ · Function: Provide ongoing clinical education, Example: Use case reviews and process improvement teams to keep clinical staff knowledge current · Function: Staff recruitment, Example: Identify and anticipate demand for specific services. As long as the physician is licensed and has not had any disciplinary action of his/her record, a hospital must grant them privileges to admit patients and practice at the hospital. - ANS-False When the clinical staff size is too small, providers may end up with higher than normal patient loads, therefore endangering patient safety. - ANS-True When the clinical staff size is too large, providers may end up with higher than normal patient loads, therefore endangering patient safety. - ANS-False Because of the age shift in the population of the U.S. most clinical staff will work in an environment of shortages for care, that is, there will not be enough clinicians to meet demand in most HCOs. - ANS-True Because of the age shift in the population of the U.S. most clinical staff will work in an environment of shortages for care, that is, there will not be enough clinicians to meet demand in most HCOs. - ANS-Safe and excellent evidence-based care to each patient Nursing is the second largest clinical profession. - ANS-False The nursing care plan is important because it instructs the physician on how to care for the patient. - ANS-true Match the goal with the example. - ANS-A: Equitable: Nurses ensure that the care they and others deliver is free from bias associated with race, gender age or any other factor that may influence unequal care. · Efficient: The nurse manager, with the aid of software, makes sure that staffing levels are in accordance with census levels in the facility. · Timely: Nursing staff monitors all care activities to ensure proper length of stay. · Patient Centered: Cultural preferences are considered when developing a patients plan of care. Safe: Nurses are trained on effective hand washing techniques. Because nurse labor is only 40% of total nursing costs, many HCOs find it valuable to increase staffing levels above those recommended by their knowledge management systems. - ANS-False RNs from a 4 year institution take the NCLEX. RNs from a 2 year institution take the ACLEX. - ANS-False, they all take the NCLEX Select all of the services that are considered diagnostic - ANS-Hematology, Autopsy, MRI, Telemedicine, Ultrasound Select all of the services that are considered therapeutic - ANS-Nursing, Physical Therapy, Pain Management, Orthotics, Wound, and Ostomy Care A Community Needs Assessment is a process for identifying and quantifying opportunities for improvements in a community. A: True - ANS-True All of the following are functions that implement a Population Health Mission except: - ANS-Establish financial guidelines and restrictions for a population health initiative Which of the following components contribute to the creation of a community needs assessment: - ANS-Forecast demand for specific services, Identify current providers in the community, and Identify benchmarks and best practices to prioritize OFIs' Government agencies, Faith-based organizations, and employers are all examples of stakeholders within a community. A: True - ANS-True The proper goal of the healthcare system at or near the end of life is to improve efficiencies and minimize costs - ANS-False The data warehouse is limited because most HCOs collect only aggregate data. - ANS-False An analyst pulls a report from the data warehouse: The report consists of a total of all a